ATI Pharm CMS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A client has a new prescription for spironolactone (Aldactone). Which of the
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following laboratory values should the nurse recognize as a reason to withhold
| | | | | | | | | | | |
the morning dose of the medication and notify the provider?
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a. Serum sodium 138 mEq/L
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b. Serum potassium 5.2 mEq/L
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c. Serum creatinine 1.2 mEq/L
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d. Serum chloride 106 mEq/L
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b. Serum potassium 5.2 mEq/L
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A nurse is caring for a client who is prescribed daily doses of both digoxin
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(Lanoxin) and furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For
| | | | | | | | | | | |
which of the following medication interaction is the client at risk?
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a. Toxic levels of furosemide
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b. Toxic levels of digoxin
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c. Sub-therapeutic levels of furosemide
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d. Sub-therapeutic levels of digoxin
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b. Toxic levels of digoxin
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,Propranolol (Inderal) is contraindicated for a client who has which of the
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following conditions?
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a. Asthma
|
b. Diabetes
|
c. Angina
|
d. Dementia
|
a. Asthma
|
A nurse is reinforcing teaching for a client who has a prescription for verapamil
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(Calan). Which of the following statements by the clients indicates a need for
| | | | | | | | | | | | |
further teaching?
| |
a. "I should increase the amount of fiber in my diet since the medication causes
| | | | | | | | | | | | | |
constipation."
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b. "I should eliminate grapefruit juice from my diet while taking verapamil."
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c. "I should decrease the amount of calcium in my diet while taking the
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medication."
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d. I should take the medication with food if it causes an upset stomach."
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c. "I should decrease the amount of calcium in my diet while taking the
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medication."
|
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat
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angina pectoris. The nurse should plan to monitor the client for which of the
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following findings?
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a. Weight loss
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,b. Reflex tachycardia
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c. Grand mal seizures
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d. Urinary Retention
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b. Reflex tachycardia
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A nurse is caring for a client on a medical unit who takes regular doses of
| | | | | | | | | | | | | | |
propranolol (Inderal) for hypertension. Before administering the client's morning
| | | | | | | | |
dose of propranolol, which of the following should the nurse plan to monitor?
| | | | | | | | | | | | |
(SATA)
|
a. Urinary output
| |
b. Pulse rate
| |
c. Temperature
|
d. Blood pressure
| |
e. Deep tendon reflexes
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b. Pulse rate
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d. Blood pressure
| |
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin).
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Which of the following should the nurse instruct the client to report to the
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provider? (SATA)
| |
a. Fatigue
|
b. Constipation
|
c. Anorexia
|
, d. Rash |
e. Diplopia
|
a. Fatigue
|
c. Anorexia
|
e. Diplopia
|
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for
| | | | | | | | | | | | |
chronic stable angina. The nurse should plan to monitor the client for which of
| | | | | | | | | | | | | |
the following findings?
| | |
a. Bradycardia
|
b. Fever|
c. Hypertension
|
d. Headache
|
d. Headache
|
A nurse is obtaining a medication history from a client who is to start a new
| | | | | | | | | | | | | | |
prescription for warfarin (Coumadin). Which of the following over-the-counter
| | | | | | | | |
medications should the nurse instruct the client to avoid?
| | | | | | | | |
a. Ranitidine (Zantac)
| |
b. Docusate sodium (Colace)
| | |
c. Acetaminophen
|
d. Aspirin
|
COMPLETE SOLUTIONS
A client has a new prescription for spironolactone (Aldactone). Which of the
| | | | | | | | | | |
following laboratory values should the nurse recognize as a reason to withhold
| | | | | | | | | | | |
the morning dose of the medication and notify the provider?
| | | | | | | | | |
a. Serum sodium 138 mEq/L
| | | |
b. Serum potassium 5.2 mEq/L
| | | |
c. Serum creatinine 1.2 mEq/L
| | | |
d. Serum chloride 106 mEq/L
| | | |
b. Serum potassium 5.2 mEq/L
| | | |
A nurse is caring for a client who is prescribed daily doses of both digoxin
| | | | | | | | | | | | | |
(Lanoxin) and furosemide (Lasix). The client's potassium level is 3.2 mEq/L. For
| | | | | | | | | | | |
which of the following medication interaction is the client at risk?
| | | | | | | | | | |
a. Toxic levels of furosemide
| | | |
b. Toxic levels of digoxin
| | | |
c. Sub-therapeutic levels of furosemide
| | | |
d. Sub-therapeutic levels of digoxin
| | | |
b. Toxic levels of digoxin
| | | |
,Propranolol (Inderal) is contraindicated for a client who has which of the
| | | | | | | | | | |
following conditions?
| |
a. Asthma
|
b. Diabetes
|
c. Angina
|
d. Dementia
|
a. Asthma
|
A nurse is reinforcing teaching for a client who has a prescription for verapamil
| | | | | | | | | | | | |
(Calan). Which of the following statements by the clients indicates a need for
| | | | | | | | | | | | |
further teaching?
| |
a. "I should increase the amount of fiber in my diet since the medication causes
| | | | | | | | | | | | | |
constipation."
|
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
| | | | | | | | | | |
c. "I should decrease the amount of calcium in my diet while taking the
| | | | | | | | | | | | |
medication."
|
d. I should take the medication with food if it causes an upset stomach."
| | | | | | | | | | | | |
c. "I should decrease the amount of calcium in my diet while taking the
| | | | | | | | | | | | |
medication."
|
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat
| | | | | | | | | | | | |
angina pectoris. The nurse should plan to monitor the client for which of the
| | | | | | | | | | | | | |
following findings?
| |
a. Weight loss
| |
,b. Reflex tachycardia
| |
c. Grand mal seizures
| | |
d. Urinary Retention
| |
b. Reflex tachycardia
| |
A nurse is caring for a client on a medical unit who takes regular doses of
| | | | | | | | | | | | | | |
propranolol (Inderal) for hypertension. Before administering the client's morning
| | | | | | | | |
dose of propranolol, which of the following should the nurse plan to monitor?
| | | | | | | | | | | | |
(SATA)
|
a. Urinary output
| |
b. Pulse rate
| |
c. Temperature
|
d. Blood pressure
| |
e. Deep tendon reflexes
| | |
b. Pulse rate
| |
d. Blood pressure
| |
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin).
| | | | | | | | | | | | |
Which of the following should the nurse instruct the client to report to the
| | | | | | | | | | | | | |
provider? (SATA)
| |
a. Fatigue
|
b. Constipation
|
c. Anorexia
|
, d. Rash |
e. Diplopia
|
a. Fatigue
|
c. Anorexia
|
e. Diplopia
|
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for
| | | | | | | | | | | | |
chronic stable angina. The nurse should plan to monitor the client for which of
| | | | | | | | | | | | | |
the following findings?
| | |
a. Bradycardia
|
b. Fever|
c. Hypertension
|
d. Headache
|
d. Headache
|
A nurse is obtaining a medication history from a client who is to start a new
| | | | | | | | | | | | | | |
prescription for warfarin (Coumadin). Which of the following over-the-counter
| | | | | | | | |
medications should the nurse instruct the client to avoid?
| | | | | | | | |
a. Ranitidine (Zantac)
| |
b. Docusate sodium (Colace)
| | |
c. Acetaminophen
|
d. Aspirin
|
